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Healthcare · head to head

eClinicalWorks Prime vs Updox

eClinicalWorks Prime logo

eClinicalWorks Prime

Healthcare

AI-powered cloud EHR for modern healthcare practices

From
$180/month
Rated
-
Updox logo

Updox

Healthcare

Healthcare communications platform for eFax, telehealth and patient reminders

From
On request
Rated
-

The short version

  • Each has a real cost: eClinicalWorks Prime eHR Only is $449/month per provider and EHR with Practice Management is $599/month per provider, priced per provider rather than a flat practice fee; Updox no specific dollar amounts listed on pricing page
  • Prices and features above were last checked on 30 August 2026.

Where they differ

Only the attributes on which eClinicalWorks Prime and Updox actually diverge.

Attributes where eClinicalWorks Prime and Updox differ
AttributeeClinicalWorks PrimeUpdox
Starting price$180/monthOn request
Pricing modelsubscriptionquote
PlatformsWeb, Mobile, ApiWeb
Founded1999Unknown

Identical on both: free tier (No), user rating (Not yet rated), category (Healthcare).

What each one covers

Drawn from each product's published feature list. An absence here means we hold no record of it - not that the product lacks it.

Only in eClinicalWorks Prime

  • Electronic Health Records
  • AI-Assisted Documentation
  • Practice Management
  • Revenue Cycle
  • Patient Portal
  • Voice Recognition
  • Telehealth
  • HL7

Only in Updox

Nothing recorded that eClinicalWorks Prime does not also cover.

What people use each for

The jobs each tool is most often brought in to do.

eClinicalWorks Prime

  • Small to mid-size practices (1-9 providers) wanting per-provider EHR pricing with included trainingnot Updox

Updox

  • Healthcare communication and patient engagementnot eClinicalWorks Prime
  • Medical practice fax, telehealth, and SMS messagingnot eClinicalWorks Prime
  • Charge capture and medical billing workflowsnot eClinicalWorks Prime
  • Multi-location healthcare systemsnot eClinicalWorks Prime

Where each one falls short

Documented limitations, not opinions. Every one is a constraint you would hit in normal use.

eClinicalWorks Prime

  • EHR Only is $449/month per provider and EHR with Practice Management is $599/month per provider, priced per provider rather than a flat practice fee
  • The RCM as a Service option charges 2.9% of practice collections rather than a fixed fee
  • Practices with more than 9 providers are charged additional implementation fees beyond the included training

Updox

  • No specific dollar amounts listed on pricing page
  • Actual costs require contacting sales team or scheduling a demo
  • Standard and Enterprise tier limits shown but no pricing transparency

Pricing, plan by plan

eClinicalWorks Prime

$180/month

No published plan breakdown. See the eClinicalWorks Prime review.

Updox

On request

No published plan breakdown. See the Updox review.

Which should you pick?

Choose eClinicalWorks Prime if

  • You need electronic health records.
  • You work on Web, Mobile, Api.
  • You also want ai-assisted documentation.

Choose Updox if

Nothing in the data separates Updox from eClinicalWorks Prime on the points above - pick on price and on how each one feels to use.

Questions people ask

Is eClinicalWorks Prime or Updox better?
Neither clearly leads. eClinicalWorks Prime starts at $180/month and Updox at On request, and user ratings are close enough to be indistinguishable. Choose on capability and platform support.
Which is cheaper, eClinicalWorks Prime or Updox?
eClinicalWorks Prime starts at $180/month and Updox at On request.
Does eClinicalWorks Prime or Updox run on more platforms?
eClinicalWorks Prime runs on Web, Mobile, Api. Updox runs on Web.
What is eClinicalWorks Prime best used for?
eClinicalWorks Prime is most often used for small to mid-size practices (1-9 providers) wanting per-provider ehr pricing with included training. Of those, small to mid-size practices (1-9 providers) wanting per-provider ehr pricing with included training is not what Updox is typically brought in for.
What can eClinicalWorks Prime do that Updox cannot?
eClinicalWorks Prime covers Electronic Health Records, AI-Assisted Documentation, Practice Management, Revenue Cycle.

Answered from the vendors’ own pages

eClinicalWorks Prime: How much does eClinicalWorks Prime cost?

eClinicalWorks does not publish pricing for its Prime RCM (Revenue Cycle Management) service. The vendor positions it as 'Better RCM service at a lower price than your current provider' but requires interested organizations to schedule a demo or contact sales at 508-836-2700 for custom pricing based on organizational size and specific requirements.

Source
Updox: How much does Updox cost?

Updox pricing is not published on the pricing page. The vendor offers customizable packages and directs inquiries to schedule a demo or contact the sales team for personalized pricing based on practice size and tool requirements.

Source
eClinicalWorks Prime: How can you get eClinicalWorks Prime pricing?

Contact eClinicalWorks directly at 508-836-2700 to speak with their sales team or schedule a demo to discuss pricing tailored to your organization.

Source
Updox: What is Updox's pricing model?

Updox uses a usage-based pricing model with customizable packages. Costs are tailored based on the tools selected (fax pages, telehealth sessions, patient reminders, text messages, broadcast messages) and can scale with practice benchmark data.

Source
Updox: What limits are included in Updox's Standard tier?

Updox Standard tier includes up to 1,000 fax pages, 75 telehealth sessions, reminders for 500 appointments, 500 text messages, and 500 broadcast messages monthly, with higher limits available in Enterprise tier.

Source
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